[ozmidwifery] Independant Practice
Thanks Mary. If I wanted to start private practice here in Alice I have to have ACMI accreditation to gain visiting priveleges to the hospital, it is one of the pre-requisites. Mind you another is to have indemnity insurance. At the moment I'm gaining experiance and will apply for the ACMI accreditation. I'm not too hopeful about getting accredited as all the births are in the hospital. (except the birth that happened in the car on the way to ASH, but that's another story). I'm working very hard and so far I have very positive feedback from the families. I have just had the 8th birth on the project. I am not able to take on any new clients and dread the thought of having to say no. Regards Rosemary
Re: [ozmidwifery] what is horizontal violence?
it doesn't just happen to midwifery students or parents. Any midwife who is outspoken and/or questions the practice of another individual or the policy/procedure of a hospital opens themselves up to horizontal violence. I was working as a casual midwife in a private hospital and encouraged a labouring woman to stand to have her baby. The obstetrician (a very large man) found it difficult to get down on the floor, I didn't get a shift for over a fortnight!!! Sally From: Ann green [EMAIL PROTECTED] Reply-To: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] what is horizontal violence? Date: Fri, 30 Aug 2002 05:51:12 +0100 (BST) Dear Cheryl, The following is only what midwives have told me.If you are a mother giving birth or even attending a breastfeeding clinic DONT TELL THE STAFF YOU ARE A MIDWIFE or your treatment will be totally unprofessional.Also miwifery students are the verbal punching bags for 'established' staff.So in short it is violence between midwives.No violence or verbal abuse is acceptable.Parents are jailed for abuse yet health professionals can say and do what they like and not have to even say sorry.Ann--- CHERYL JONES [EMAIL PROTECTED] wrote: Could somebody please explain what is horinzontal violence, I know I heard it long time ago. However I'm not quite sure what it is. Cheryl -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ Do You Yahoo!? Everything you'll ever need on one web page from News and Sport to Email and Music Charts http://uk.my.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. catchya later _ Send and receive Hotmail on your mobile device: http://mobile.msn.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] existing midwifery services
Title: Re: [ozmidwifery] existing midwifery services - Original Message - From: Maurice Bullard To: [EMAIL PROTECTED] Sent: Saturday, August 31, 2002 6:11 PM Subject: Re: [ozmidwifery] existing midwifery services Dear Justine thank you for your response, I certainly agree regarding the blisters. I am so disappointed at what appears to be a lack of supportfor each other. I recently attended a large meeting with many midwives(who make up the large percentage of midwives with vast interest in the current models of midwifery care) attending and it was very clear there was no support for anything other than protecting your own patch. Thank you so much to Denise and Jan for their wonderful speeches and their courage to support women and fellow midwives. I agree its worth hanging in there and I suppose it was just a moment of absolute frustration with battling the current system that seems to thwart every attempt at midwifery care centred on women, not instutions. Cheers Marian - Original Message - From: Justine Caines To: OzMid List Sent: Thursday, August 29, 2002 10:01 PM Subject: Re: [ozmidwifery] existing midwifery services Just like to stimulate some discussion regarding the recent press around smaller birthing services in Sydney and surrounds.Is there any support for women currently choosing these services for birth, or do we think these services are not worth hanging on to. There seem to be an abundance of ideas for new models of care for midwifery services and I believe we need these plans for the future of birthing women but at the moment feel we are throwing out our old shoes before we have the money to buy the new. What do other midwives feel. Cheers MarianHi Marian and AllI am unsure exactly what you mean. Are you referring to the appalling moves in NSW to centralise regional services, or the National Maternity Action Plan ( a model to increase midwife-led care)? In relation to throwing out the old shoes it is true that many midwives will be uncomfortable/unwilling to work in a caseload capacity in an autonomous way. There are many (including our IPMs) that would love to. The time is absolutely ripe (with the professional indemnity crisis) to demonstrate VERY clearly to politicians and policy makers that midwives are legitimate carers for women and can adequately care for normal, healthy pregnant women through the entire episode. Their care is proven to be more appropriate and cost effective and the relationship a woman forms with a known midwife has such far reaching benefits for her and her family.Combine the international research, practice with 30 parliamentary inquiries since 1985 across the country with the majority recommending an increase in midwife led care. BINGO!If the system was to support appropriate midwife care we would see 80% of normal births, rather than the 20 or so % we see now. Over time a great many more women would see birth as a normal and beautiful life event, rather than a terrifying experience that they need to be anaesthetised from. Our Tresillian, etc services would not be full and mothering would be greater valued, because women would demand it!The old shoes dont fit!!! The new ones may give some people blisters, but hey once we walk them in they be the best pair ever!!Justine CainesMaternity Coalition ACT Branch
[ozmidwifery] Fw: Fwd: (no subject)
Subject: Women's IssuesQ: Should I have a baby after 35?A: No, 35 children is enough.Q: I'm two months pregnant now. When will my baby move?A: With any luck, right after he finishes college.Q: What is the most reliable method to determine a baby's sex?A: Childbirth.Q: My wife is five months pregnant and so moody that sometimes she'sborderline irrational.A: So what's your question?Q: My childbirth instructor says it's not pain I'll feel during labor,but pressure. Is she right?A: Yes, in the same way that a tornado might be called an air current.Q: When is the best time to get an epidural?A: Right after you find out you're pregnant.Q: Is there any reason I have to be in the delivery room while my wife is in labor?A: Not unless the word "alimony" means anything to you.Q: Is there anything I should avoid while recovering from childbirth?A: Yes, pregnancy.Q: Do I have to have a baby shower?A: Not if you change the baby's diaper very quickly.Q: Our baby was born last week. When will my wife begin to feel and act normal again?A: When the kids are in college."ESTROGEN ISSUES": 10 WAYS TO KNOW IF YOU HAVE "ESTROGEN ISSUES"1. Everyone around you has an attitude problem.2. You're adding chocolate chips to your cheese omelet.3. The dryer has shrunk every last pair of your jeans.4. Your husband is suddenly agreeing to everything you say.5. You're using your cellular phone to dial up every bumper stickerthat says "How's my driving-call 1-800-***-."6. Everyone's head looks like an invitation to batting practice.7. You're convinced there's a God and he's male.8. You can't believe they don't make a tampon bigger than Super Plus.9. You're sure that everyone is scheming to drive you crazy.10. The ibuprofen bottle is empty and you bought it yesterday.TOP TEN THINGS ONLY WOMEN UNDERSTAND10. Cats' facial expressions.9. The need for the same style of shoes in different colors.8. Why bean sprouts aren't just weeds.7. Fat clothes.6. Taking a car trip without trying to beat your best time.5. The difference between beige, ecru, cream, off-white, andeggshell.4. Cutting your bangs to make them grow.3. Eyelash curlers.2. The inaccuracy of every bathroom scale ever made.AND, the Number One thing only women understand1. OTHER WOMEN IncrediMail - Email has finally evolved - Click Here ---BeginMessage--- Subject: Women's Issues Q: Should I have a baby after 35? A: No, 35 children is enough. Q: I'm two months pregnant now. When will my baby move? A: With any luck, right after he finishes college. Q: What is the most reliable method to determine a baby's sex? A: Childbirth. Q: My wife is five months pregnant and so moody that sometimes she's borderline irrational. A: So what's your question? Q: My childbirth instructor says it's not pain I'll feel during labor, but pressure. Is she right? A: Yes, in the same way that a tornado might be called an air current. Q: When is the best time to get an epidural? A: Right after you find out you're pregnant. Q: Is there any reason I have to be in the delivery room while my wife is in labor? A: Not unless the word "alimony" means anything to you. Q: Is there anything I should avoid while recovering from childbirth? A: Yes, pregnancy. Q: Do I have to have a baby shower? A: Not if you change the baby's diaper very quickly. Q: Our baby was born last week. When will my wife begin to feel and act normal again? A: When the kids are in college. "ESTROGEN ISSUES": 10 WAYS TO KNOW IF YOU HAVE "ESTROGEN ISSUES" 1. Everyone around you has an attitude problem. 2. You're adding chocolate chips to your cheese omelet. 3. The dryer has shrunk every last pair of your jeans. 4. Your husband is suddenly agreeing to everything you say. 5. You're using your cellular phone to dial up every bumper sticker that says "How's my driving-call 1-800-***-." 6. Everyone's head looks like an invitation to batting practice. 7. You're convinced there's a God and he's male. 8. You can't believe they don't make a tampon bigger than Super Plus. 9. You're sure that everyone is scheming to drive you crazy. 10. The ibuprofen bottle is empty and you bought it yesterday. TOP TEN THINGS ONLY WOMEN UNDERSTAND 10. Cats' facial expressions. 9. The need for the same style of shoes in different colors. 8. Why bean sprouts aren't just weeds. 7. Fat clothes. 6. Taking a car trip without trying to beat your best time. 5. The difference between beige, ecru, cream, off-white, and eggshell. 4. Cutting your bangs to make them grow. 3. Eyelash curlers. 2. The inaccuracy of every bathroom scale ever made. AND, the
[ozmidwifery] thanks Rosemary
thank you Rosemary for sharing what must have been a wonderful experience for all involved. I apologise for ranting and raving, but 'it' has finally driven me after three years, to such a point as my health being affected. I had the migraine from hell which had me begging my hubby to take me to hospital! I am so angered by the way in which care is manipulated by a few in positions in power. I am angered that in SA 'they' are using the tragic event of a uterine rupture in a vbac (labour augmented -without dilation check first! and epidural and yet no continuous monitoringuntil too late!) to ban vbac in birth centres...so more women can be submitted to epidurals, inductions, augmentation, continuous monitoring!!! Perhaps if this woman was in a birth centre, she would not have been subjected to such poor and disgraceful care! But knowing that birth is still happening in a caring, loving and trusting environment makes the pain in my head (and heart) a little easier. Thanks for sharing Jo Bainbridgefounding member CARES SAemail: [EMAIL PROTECTED]phone: 08 8388 6918birth with trust, faith love...
RE: [ozmidwifery] Natural Birth
Rosemary, What is happening at Alukura these days. Is this still a functioning birthing place for women? Im dreaming of coming to Alice Springs. In peace and joy Sally Westbury
Re: [ozmidwifery] Presenting a united front
Mary, I totally agree with you but today I am wondering just why we try with some. She was having her second baby, prostin induction for term plus 8 on the start day of the induction, no action after 4 doses over 2 days so the doctors were talking about an elective CS. I spoke to the woman and normally tact, diplomacy and caring are something I am good at but obviously not good enough. I find out today that she doesn't like me because I told her "that she doesn't need a CS". Obviously I was wrong as she got to 5cm (started to labour the night before) and stayed there for 6 hours then had an abdominal delivery of a 4.7 kg baby. I know my focus was not that she doesn't need the CS but "you don't know if you can birth normally if you don't try" and at the time she seemed interested in the concept. She had been a client of the Birth Centre till they had to hand her over for being post term. Have not spoken to her yet as I have been too busy in Birth Suite. Will see her tomorrow night. I feel very disappointed and let down. I guess I should focus instead on the two photos from different appreciative families that have been given to me this week. They will be scanned and added to my album of mums I have worked with. Judy From: "Mary Murphy" <[EMAIL PROTECTED]> Reply-To: [EMAIL PROTECTED] To: <[EMAIL PROTECTED]> CC: "ACMI" <[EMAIL PROTECTED]> Subject: Re: [ozmidwifery] Presenting a united front Date: Fri, 30 Aug 2002 19:35:46 +0800 As a Fellow of the Australian College of midwifes and a member and worker for 20 yrs, I must also say that I am disappointed in the deafening silence of the ACMI Executive about the overall state of maternity services. As a midwife in private practice, I see that the insurance issue and my own conditions of employment are up to me to fight for. I don't expect that the ACMI should do that. However, when the majority midwives are (for all kinds of personal reasons) colluding in the medicalisation of births of the the women of Australia, I feel like a raging lioness, wanting to protect my young. Medicalisation causes the majority of babies in Australia to be born imprinted in a drug filled haze. In todays West Australian newspaper it stated that W.A. had the 2nd highest illegal drug problem in Australia. Is it any wonder! Women who wish to birth naturally without drugs and the midwives who support them are seen to be deviates. After attending the births of 4 women in the last 2 weeks, a 3rd baby , 5.2kgs, no tears, no drugs, who was told to have a C/S because she wouldn't be able to birth the baby; a primip who birthed a 3.6kgs baby in 7 hrs, no tears, no drugs; a primip who birthed a 3.8kg baby in 6 hrs, labial tears, no drugs and a primip who birthed a 4.4kgs baby in 12hrs, no tears or drugs- all waterbirths. Waterbirths are not allowed in our hospitals or our birth centre because they are "dangerous", yet it is O.K to fill them up with epidurals or drugs by another route, or even to indoctrinate women to the idea that planned caesareans are "risk free", then blame them for choosing that option... or even giving them that option. Some of the women above had personal histories which may have caused a planned casarean, or an instrumental delivery if they had stuck with the medical model and their midwives had gone for the epidural, hospital birth scenario. Patience and encouragement allowed them to triumph and experience real healing in their births. What is happening out there? Where is our professional body upholding what is right, not just what is politic? I would like to see so much more public comment from the Executive of the ACMI about the state of maternity care (or lack of true care). It truly is a toothless tigeress. MM -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. Send and receive Hotmail on your mobile device: Click Here -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
[ozmidwifery] Skin to Skin
Ashley Montagu's Touching -- the Human Significance of Skin. Shows up in second hand bookshops, libraries etc. I don't know how much there ison your topic. I've warmed a baby in the dead of winter (I arrived a little after the birth) and it was so cold, the mother was exhausted. I'm blessed with a G-cup. Tucked bub under the breast...warm as toast! Loved that skin to skin contact with my own babes. Excellent bonding. Not very scientific, but valid to me. I wish you success, Aviva - Original Message - From: allison To: [EMAIL PROTECTED] Sent: Friday, August 30, 2002 8:10 PM Hi list, just wondering if anyone has any resources on where i may access qualitative research done on womens experiences of skin to skin contact immediately after birth.
Re: [ozmidwifery] Presenting a united front
I applaud you! Aviva - Original Message - From: Mary Murphy To: [EMAIL PROTECTED] Cc: ACMI Sent: Friday, August 30, 2002 9:05 PM Subject: Re: [ozmidwifery] Presenting a united front As a Fellow of the Australian College of midwifes and a member and workerfor 20 yrs, I must also say that I am disappointed in the deafening silenceof the ACMI Executive about the overall state of maternity services. As amidwife in private practice, I see that the insurance issue and my ownconditions of employment are up to me to fight for. I don't expect that theACMI should do that. However, when the majority midwives are (for all kindsof personal reasons) colluding in the medicalisation of births of the thewomen of Australia, I feel like a raging lioness, wanting to protect myyoung. Medicalisation causes the majority of babies in Australia to beborn imprinted in a drug filled haze. In todays West Australian newspaperit stated that W.A. had the 2nd highest illegal drug problem in Australia.Is it any wonder! Women who wish to birth naturally without drugs and themidwives who support them are seen to be deviates. After attending thebirths of 4 women in the last 2 weeks, a 3rd baby , 5.2kgs, no tears, nodrugs, who was told to have a C/S because she wouldn't be able to birth thebaby; a primip who birthed a 3.6kgs baby in 7 hrs, no tears, no drugs; aprimip who birthed a 3.8kg baby in 6 hrs, labial tears, no drugs and aprimip who birthed a 4.4kgs baby in 12hrs, no tears or drugs- allwaterbirths. Waterbirths are not allowed in our hospitals or our birthcentre because they are "dangerous", yet it is O.K to fill them up withepidurals or drugs by another route, or even to indoctrinate women to theidea that planned caesareans are "risk free", then blame them for choosingthat option... or even giving them that option. Some of the women above hadpersonal histories which may have caused a planned casarean, or aninstrumental delivery if they had stuck with the medical model and theirmidwives had gone for the epidural, hospital birth scenario. Patience andencouragement allowed them to triumph and experience real healing in theirbirths.
Re: [ozmidwifery] Presenting a united front
I think sometimes it is hard for women to understand and make sence of what is happening - they have doctors saying - "Hmm - Need to do a c/s" and midwives saying , "Hmm - maybe not" Then they hear stories like what I heard just before being forced to have a c/s by doctors I did not trust - 'When they did my c/s they cut my bladder and I had a catheter in for 10 days and couldn't get out of bed." And then - "they made me labour even though they knew she was breach for 8 hours and push and push and then i tore so badly that it tore my anus and couldn't use my bowels for weeks without pain." The stories and fear all get rolled into one and there has to be someone to blame - there has to be someone who is wrong! Sometimes it is just fear and confusion that you become the brunt of so don't let it get you down. Just my thoughts as I know all too well the confusion that conflicting advice brings with it - a c/s that everyone agrees is needed is sometimes easier to come to terms with than trying and failing or not trying but wishing you had. Once a woman has already been broken it is hard to change her thoughts. Once they have convinced her that she is not going to deliver it is so much harder to change that - this is why i feel that more education is needed at the beginning of the pregnancy and not at the end - nobody prepares you for the what if's and the confusion and the when to decide etc... Nothing prepares you to have one person saying - we wil need to cut you up and another saying No we don't and all you want is this thing out coz you are tired and heavy and vague and confused. (Hope that makes sence!) I know you meant well and she probably will to in time but you need to work out when a woman is needing support in deciding what is right for her and to get the facts in before it is too late. Regards Rhonda. ---Original Message--- From: [EMAIL PROTECTED] Date: Saturday, August 31, 2002 22:43:50 To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Presenting a united front Mary, I totally agree with you but today I am wondering just why we try with some. She was having her second baby, prostin induction for term plus 8 on the start day of the induction, no action after 4 doses over 2 days so the doctors were talking about an elective CS. I spoke to the woman and normally tact, diplomacy and caring are something I am good at but obviously not good enough. I find out today that she doesn't like me because I told her "that she doesn't need a CS". Obviously I was wrong as she got to 5cm (started to labour the night before) and stayed there for 6 hours then had an abdominal delivery of a 4.7 kg baby. I know my focus was not that she doesn't need the CS but "you don't know if you can birth normally if you don't try" and at the time she seemed interested in the concept. She had been a client of the Birth Centre till they had to hand her over for being post term. Have not spoken to her yet as I have been too busy in Birth Suite. Will see her tomorrow night. I feel very disappointed and let down. I guess I should focus instead on the two photos from different appreciative families that have been given to me this week. They will be scanned and added to my album of mums I have worked with. Judy From: "Mary Murphy" <[EMAIL PROTECTED]> Reply-To: [EMAIL PROTECTED] To: <[EMAIL PROTECTED]> CC: "ACMI" <[EMAIL PROTECTED]> Subject: Re: [ozmidwifery] Presenting a united front Date: Fri, 30 Aug 2002 19:35:46 +0800 As a Fellow of the Australian College of midwifes and a member and worker for 20 yrs, I must also say that I am disappointed in the deafening silence of the ACMI Executive about the overall state of maternity services. As a midwife in private practice, I see that the insurance issue and my own conditions of employment are up to me to fight for. I don't expect that the ACMI should do that. However, when the majority midwives are (for all kinds of personal reasons) colluding in the medicalisation of births of the the women of Australia, I feel like a raging lioness, wanting to protect my young. Medicalisation causes the majority of babies in Australia to be born imprinted in a drug filled haze. In todays West Australian newspaper it stated that W.A. had the 2nd highest illegal drug problem in Australia.
[ozmidwifery] Disappointed
Dear Judy, At the RWH Birth Centre we don't hand over our women when they need to be induced or go to Birth Suite for any reason. We still look after them until they birth (by whatever means). We also 'encourage' that induction, unless for a medical reason is not an option and 8 days (as you would agree) is not posterm. Induction is not talked about 'in full' until after 'at least' seven days. My clients understand this and if my client wishes to have a social induction that's fine, but bye bye out of the Birth Centre thank you. However, I discuss with my clients very early in the pregnancy,what aninduction is, pro's con's etc and that it is not offered unless there is a medical problem with themsleves or their babies. I also dicuss very early if they want a medicalised birth, that's fine but don't come to the Birth Centre. Judy, you will always have clients that will never be happy with whatever care you give, you know that! It's usually the ones that you have given 110% of your effort and it is still not enough. It's hurtful especially if they are ungracious about your effort. I find that these women or their supporters have never really been committed to the philosophy no matter how drooling about it at first. Also, some people never take responsiblity for their own actions and therefore, are quite happy to 'blame' someone else, it takes the pressure off themselves. Judy, obviously follow your client up to your normal postnatal duty of care, and let her and her issue go - literally. Regards, Anne Clarke Brisbane
Re: [ozmidwifery] Independant Practice
For accreditation, the place of birth is not the issue. The issue is that you have provided primary midwifery care during pregnancy, labour and birth and post partum for 10 xcases. It sounds as tho that is what you are doing.(?)
Re: [ozmidwifery] Presenting a united front
Induced at term plus 8 and transferred out of the birth centre? Why? even at KEMH FBC it doesn't become mandatory till day 14. MM - Original Message - From: Judy Chapman To: [EMAIL PROTECTED] Sent: Saturday, August 31, 2002 8:01 PM Subject: Re: [ozmidwifery] Presenting a united front Mary, I totally agree with you but today I am wondering just why we try with some. She was having her second baby, prostin induction for term plus 8 on the start day of the induction, no action after 4 doses over 2 days so the doctors were talking about an elective CS. I spoke to the woman and normally tact, diplomacy and caring are something I am good at but obviously not good enough. I find out today that she doesn't like me because I told her "that she doesn't need a CS". Obviously I was wrong as she got to 5cm (started to labour the night before) and stayed there for 6 hours then had an abdominal delivery of a 4.7 kg baby. I know my focus was not that she doesn't need the CS but "you don't know if you can birth normally if you don't try" and at the time she seemed interested in the concept. She had been a client of the Birth Centre till they had to hand her over for being post term. Have not spoken to her yet as I have been too busy in Birth Suite. Will see her tomorrow night. I feel very disappointed and let down. I guess I should focus instead on the two photos from different appreciative families that have been given to me this week. They will be scanned and added to my album of mums I have worked with. Judy From: "Mary Murphy" <[EMAIL PROTECTED]> Reply-To: [EMAIL PROTECTED] To: <[EMAIL PROTECTED]> CC: "ACMI" <[EMAIL PROTECTED]> Subject: Re: [ozmidwifery] Presenting a united front Date: Fri, 30 Aug 2002 19:35:46 +0800 As a Fellow of the Australian College of midwifes and a member and worker for 20 yrs, I must also say that I am disappointed in the deafening silence of the ACMI Executive about the overall state of maternity services. As a midwife in private practice, I see that the insurance issue and my own conditions of employment are up to me to fight for. I don't expect that the ACMI should do that. However, when the majority midwives are (for all kinds of personal reasons) colluding in the medicalisation of births of the the women of Australia, I feel like a raging lioness, wanting to protect my young. Medicalisation causes the majority of babies in Australia to be born imprinted in a drug filled haze. In todays West Australian newspaper it stated that W.A. had the 2nd highest illegal drug problem in Australia. Is it any wonder! Women who wish to birth naturally without drugs and the midwives who support them are seen to be deviates. After attending the births of 4 women in the last 2 weeks, a 3rd baby , 5.2kgs, no tears, no drugs, who was told to have a C/S because she wouldn't be able to birth the baby; a primip who birthed a 3.6kgs baby in 7 hrs, no tears, no drugs; a primip who birthed a 3.8kg baby in 6 hrs, labial tears, no drugs and a primip who birthed a 4.4kgs baby in 12hrs, no tears or drugs- all waterbirths. Waterbirths are not allowed in our hospitals or our birth centre because they are "dangerous", yet it is O.K to fill them up with epidurals or drugs by another route, or even to indoctrinate women to the idea that planned caesareans are "risk free", then blame them for choosing that option... or even giving them that option. Some of the women above had personal histories which may have caused a planned casarean, or an instrumental delivery if they had stuck with the medical model and their midwives had gone for the epidural, hospital birth scenario. Patience and encouragement allowed them to triumph and experience real healing in their births. What is happening out there? Where is our professional body upholding what is right, not just what is politic? I would like to see so much more public comment from the Executive of the ACMI about the state of maternity care (or lack of true care). It truly is a toothless tigeress. MM -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. Send and receive Hotmail on your mobile device: Click Here-- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.